Crohn's disease (regional enteritis)

Alternative names:

granulomatous ileocolitis; ileitis; inflammatory bowel disease; regional enteritis

Treatment:

Medications may control the inflammatory process. Antibiotics are prescribed to treat abscesses and fistulas, if present.

Changes in the diet may improve symptoms (consult your health care provider or dietician). An adequate intake of calories, vitamins, and protein is important. Foods that worsen the diarrhea (or other symptoms) should be avoided--specific food problems may vary from person to person. People who have blockage of the intestines may need to avoid raw fruits and vegetables. Some people difficulty digesting lactose (milk sugar) and need to avoid milk products.

Surgical treatment of complications such as an obstruction (blockage) may be necessary.

Support groups:

The stress of illness can often be helped by joining a support group where members share common experiences and problems. See gastrointestinal disorders - support group.

Expectations (prognosis):

This is a chronic disease characterized by periods of improvement followed by the deterioration of symptoms. There is an increased risk of small bowel or colorectal carcinoma.

Complications:

• fistulas may occur to the bladder, vagina, or the skin
• bowel obstructions
• nutritional deficiencies

Calling your health care provider:

Call for an appointment with your health care provider if symptoms worsen or do not improve with treatment or if new symptoms develop.